宫颈癌活检病理与术后石蜡病理的符合率、临床意义分析

Analysis of the coincidence rate and clinical significance of biopsy pathology of cervical cancer and postoperative paraffin pathology

目的:分析宫颈癌活检病理与术后石蜡病理的符合率及其所具有的临床意义。方法:收治宫颈癌患者428例,统计患者术前宫颈癌活检病理与术后石蜡病理的符合率及不同病理类型、不同肿瘤分期患者术前宫颈癌活检病理与术后石蜡病理的符合率,分析术前、术后病理符合率所具有的临床意义。结果:428例患者术前宫颈癌活检病理结果与术后石蜡病理符合率86.68%。病理类型为鳞癌患者术前、术后病理的符合率98.41%,明显高于腺鳞癌患者的72.83%和其他病理类型患者的48.72%(P<0.05)。肿瘤分期ⅠA期～ⅡA期患者术前、术后的病理符合率83.16%,低于肿瘤分期高于ⅡA期患者的95.20%(P<0.05)。结论:根据术前宫颈癌活检病理进行宫颈癌诊断可能发生漏诊,应加强早期宫颈癌和少见病理类型宫颈癌的术前活检病理特征分析,以减少漏诊。

Objective：To analyze the coincidence rate of biopsy pathology- of cervical cancer and postoperative paraffin pathology- and its clinical significance.Methods：428 cases of cervical cancer were selected.The coincidence rate of preoperative cervical cancer biopsy pathology- and postoperative paraffin pathology- was statistically analyzed,and the coincidence rate of preoperative cervical cancer biopsy and postoperative paraffin pathology was compared between different pathological types and tumor stages. The clinical significance of preoperative and postoperative pathologic coincidence rate was analyzed.Results：The coincidence rate of pathological results of cervical cancer biopsy and postoperative paraffin pathology in 428 cases was 86.68% .The coincidence rate between preoperative and postoperative pathology- of squamous cell carcinoma was 98.41% ,which was significantly higher than that of 72.83% of adenocarcinoma patients and 48.72% of other pathological Upes（P 〈 0.05）.The pathologic coincidence rate of the tumor stage I A stage to II A patients was 83.16% before and after the operation,which was lower than that of the patients in stage II A of 95.20%（P〈 0.05）.Conclusion：According to preoperative cervical biopsy pathological diagnosis of cervical cancer may occur missed diagnosis.The pathological features of early cervical cancer and rare pathological Upe cervical cancer should be strengthened to reduce the missed diagnosis.